Provider Demographics
NPI:1568451714
Name:SELIGMAN, JAMES ROBERT (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:SELIGMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 WASHINGTON ST
Mailing Address - Street 2:STE 102
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2154
Mailing Address - Country:US
Mailing Address - Phone:617-451-0011
Mailing Address - Fax:617-451-0012
Practice Address - Street 1:1180 WASHINGTON ST
Practice Address - Street 2:STE 102
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2154
Practice Address - Country:US
Practice Address - Phone:617-451-0011
Practice Address - Fax:617-451-0012
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16218122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist